Organization Active NPI

Medi Mobile LLC

  • Non-emergency Medical Transport (VAN)
  • Tucson, AZ
National Provider Identifier
1871851881
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
3019449 Issued in AZ
Legal business name
MEDI MOBILE LLC
Practice address
4001 N Runway Dr
Tucson, AZ 85705-2992
Phone
(520) 505-6190
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lillian C Major
Title
Owner
Phone
(520) 505-6190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 3019449 AZ Primary

Addresses

Primary practice location

4001 N Runway Dr
Tucson, AZ 85705-2992

Mailing address

1306 S Burdock Dr
Tucson, AZ 85713-4640
Phone (520) 505-6190

Other identifiers 1

IdentifierTypeStateIssuer
659359MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4001 N Runway Dr
Tucson, AZ 85705
Phone (520) 505-6190

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1871851881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 S BURDOCK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134640",
            "telephone_number": "520-505-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N RUNWAY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857052992",
            "telephone_number": "520-505-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-505-6190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "3019449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "659359",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.